I think I have figured out the answer by basically wiresharking a simple dial. From my tests it looks like when a call arrives to Plivo it will by default send out a SIP 183. That in itself gives unlimited time to wait.
So basically what I think is the Pilvo core is a simple dialplan to just "Pre-Answer". That basically sets up the calland it stays there. Once thats done you can work with the call via ESL and take you own sweet time.
Perfect plan. However, I hope Plivo engineering can confirm this as being correct.
Thanks
DS